Orchard Grove Specialty Care Center

LBN: Orchard Grove Specialty Care Center
Orchard Grove Specialty Care Center is an health care organization with primary practice located at 5 Richard Brown Drive , Uncasville CT 06382. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Orchard Grove Specialty Care Center can be contacted via phone (860) 848-8466, or through Hambley, Mark via phone (860) 678-9755.

Contact Information

Primary practice address
5 Richard Brown Drive Uncasville CT 06382
Phone: (860) 848-8466
Fax: (860) 848-7456
Website:
Map and Directions
Authorized official contact:
Name: Hambley, Mark
Phone: (860) 678-9755

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 2306-C Connecticut

Profile Details

NPI number 1598833725
LBN Legal business name Orchard Grove Specialty Care Center
DBA Doing business as
Authorized official Hambley, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598833725 NPPES
Connecticut MEDICAID 0095241

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